NPI 1548695489

Jason S. Clark, DVM

Practitioner Veterinarian Louisville, KY

Practice location

Address: 11800 Capital Way, Louisville, KY 40299-6332
Phone: (502) 266-7007
Fax: (502) 266-7375

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence NS-KY-3276 (KY)

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Registry record

NPI: 1548695489
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Sep 2013
Record last updated: 2 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.